That is the way I do it at my facility and it was talked about with my administrator and the DON.  If a skilled person is making improvement and this was the goal of therapy then a SCSA does not need to be done.   Now say they came in with behaviors that were not easily altered and those improved and they came in being incontinent and that improved, etc.I would then do a SCSA.  Mainly I am talking about improvements in section G, otherwise we might be doing SCSA with every 14, 30, 60, 90 assessment. 
----- Original Message -----
From: M. Wilson
Sent: Monday, January 12, 2004 4:36 AM
Subject: Re: Care Plan Conferences

So to clarify/simplify, are you saying that if a person changes in two or more areas but the improvement was due to a course of therapy, that a SCSA doesn't need to be done because it was the anticipated goal of therapy to improve this person? 

Janice <[EMAIL PROTECTED]> wrote:
Exactly....Significant change in status does not have to be done if the improvements are following a current course of care....
----- Original Message -----
Sent: Sunday, January 11, 2004 4:48 PM
Subject: Re: Care Plan Conferences

In a message dated 1/11/2004 5:41:35 AM Pacific Standard Time, [EMAIL PROTECTED] writes:
Because there is a change in status. either they have been discharged because they have improved in their adls or discharged because they are no longer progressing or have declined.----
Not necessary if it was an expected improvement/decline.


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